1. Home
  2. Directory
  3. Michigan
  4. Highland Park
  5. Family Medicine
  6. NPI Profile

DR. SUNITHA NAMBIAR M.D.
NPI 1639376858
Family Medicine in Highland Park, MI

Active since June 29, 2007PECOS EnrolledAccepts Medicare Assignment
15119 WOODWARD AVE, HIGHLAND PARK, MI 48203(313) 865-2020 Get Directions Write a Review

NPPES record last updated: May 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sunitha Nambiar M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUNITHA NAMBIAR M.D. (NPI 1639376858) is an individual family medicine provider in Highland Park, Michigan, licensed in Michigan (4301084306) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Sinai-grace Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1639376858
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SUNITHA NAMBIARCredential: M.D.
Location Address15119 WOODWARD AVEHighland Park, MI 48203-2907
Mailing Address15119 Woodward AveHighland Park, MI 48203-2907 · (313) 865-2020
Phone(313) 865-2020
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 29, 2007
Last NPPES UpdateMay 18, 2020
NPPES CertifiedMay 18, 2020
✔ NPI 1639376858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301084306
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
15119 WOODWARD AVE, Highland Park, MI 48203
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sunitha Nambiar M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799800108
PECOS Enrollment IDI20100908000916
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
149 services43 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
109 services48 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
109 services44 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
99 services43 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
27 services27 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sinai-Grace Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230024
Location6071 W Outer DriveDetroit, MI 48235 · Wayne County
Emergency services Birthing friendly

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers23 claims86 services$5.69 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers20 claims36 services$1.01 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier86 claims133,400 services$5.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HIGHLAND PARK MEDICAL CENTER, PLLC
Family Medicine
15119 WOODWARD AVE
HIGHLAND PARK, MI 48203
Wayne County (313) 865-2020
STEPHANIE VIEIRA
Physician Assistant
15119 WOODWARD AVE
HIGHLAND PARK, MI 48203
Wayne County (313) 865-2020
DR. ASHWANI JAISWAL M.D.
Family Medicine
15119 WOODWARD AVE
HIGHLAND PARK, MI 48203
Wayne County (313) 865-2020
MRS. AMY ABDELNOUR DAVISSON PA-C
Physician Assistant
15119 WOODWARD AVE
HIGHLAND PARK, MI 48203
Wayne County (313) 865-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sunitha Nambiar's NPI number?

The NPI number for Sunitha Nambiar is 1639376858. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Sunitha Nambiar located?

Sunitha Nambiar practices at 15119 Woodward Ave, Highland Park, MI 48203. The listed phone number is (313) 865-2020.

What is Sunitha Nambiar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sunitha Nambiar enrolled in Medicare?

Yes. Sunitha Nambiar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sunitha Nambiar accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Sunitha Nambiar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sunitha Nambiar affiliated with any hospitals?

According to CMS data, Sunitha Nambiar is affiliated with Sinai-Grace Hospital and Harper University Hospital.

When was this NPI record last updated?

The NPPES record for Sunitha Nambiar was last updated on May 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.